Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edgardo Medina-Colon, LCSW

Individual provider Clinical Social Worker · NPI 1255998696

Edgardo Medina-Colon, LCSW is a Clinical Social Worker in Travis AFB, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

60 Mdg/sgof 101 Bodin Cir
Travis AFB, CA 94535-1809
Phone: (707) 423-3057
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 114327 (CA)

Record details

NPI number1255998696
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 21, 2019
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

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